Anatol J Med . 2008; 10(2): 97-101 | |||
Plevral Efüzyonlarda Sıvı Miktarı ile Etyolojinin İlişkisiNesrin Kıral, Ali Fidan, Gülşen Saraç, Elif Torun, Muharrem Tokmak, Benan ÇağlayanDr.lütfi Kırdar Kartal Eğitim Ve Araştırma Hastanesi Göğüs Hastalıkları Kliniği, İstanbul.AMAÇ: Çalışmamızda masif plevral efüzyonlar ile masif olmayan plevral efüzyonların etyolojisini ve sıvı özelliklerini karşılaştırmak. Relationship Between Amount of Pleural Effusion and EtiologyNesrin Kıral, Ali Fidan, Gülşen Saraç, Elif Torun, Muharrem Tokmak, Benan ÇağlayanDr. Lütfi Kırdar Kartal Education And Research Hospital Department Of Chest Diseases, İstanbul, TurkeyWe compared etiological factors and fluid properties in massive and nonmassive pleural effusions. Study population consisted of 159 cases having pleural effusion in chest-X-ray diagnosed between 2004-2006. 32(20.1%) cases had massive pleural effusion(fluid in more than 2/3 of a hemithorax) whereas 127(79.9%) had nonmassive effusion(fluid in 1/3 or 2/3 of a hemithorax). Massive effusions were found to have exuda dominancy, however amount of effusion was not significantly correlated with fluid characteristics (p>0.05). Amount of effusion was not correlated with cell type (p>0.05). In massive effusions pH and glucose levels were lower and LDH levels were higher with statistical significance (p<0.05). 44.4% of massive and 17.6% of nonmassive effusions were hemorrhagic (p=0.004). The predominant diagnosis was malignancy in massive effusions (%46.9). TB effusions were nonhemorrhagic with statistically significant difference (p=0.004). 30% of malignant cases and 14.4% of benign cases were massive (p=0.025). None of the effusions due to systemic disease were massive. As a conclusion, first diagnosis to be considered in massive effusions are malignancy. The probability of malignancy significantly increases when fluid is hemorrhagic. Keywords: Pleural effusion, massive effusion, malignant effusion, tuberculosis, parapneumonic effusion.Nesrin Kıral, Ali Fidan, Gülşen Saraç, Elif Torun, Muharrem Tokmak, Benan Çağlayan. Relationship Between Amount of Pleural Effusion and Etiology. Anatol J Med . 2008; 10(2): 97-101 Sorumlu Yazar: Nesrin Kıral, Türkiye |
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